Evaluation of the training program to train HIV treatment center staff in Pakistan

Introduction In Pakistan, HIV training programs, especially for health professionals working in HIV treatment centers, are limited. Consequently, there is little data about HIV awareness among physicians and allied health workers and how it may affect their care for people living with HIV (PLWH). Recently, the Global Fund to Fight AIDS, Tuberculosis, and Malaria (GFATM) grant Principal Recipient UNDP engaged an NGO experienced in HIV/AIDS training, on a competitive basis, to develop a training manual and conduct training of all categories of HIV treatment centers staff. The goal of this study was to assess the training program\u27s influence on trainees\u27 (both physicians and allied health staff) knowledge and abilities and describe its major lessons. Methodology This was a one-group pre-post test study, carried out between January 17 and February 22, 2023. The study was carried out in three phases. In the first phase, a team of experts developed an antiretroviral treatment (ART) training manual. In the second phase, 9- and three-day training workshops were conducted in six different cities of Pakistan, which were attended by physicians and allied health staff working in different HIV treatment centers across Pakistan. The workshops had plenary lectures, discussions, role plays, video cases, and case studies. In the third phase, a quiz, comprising multiple/best choice questions (MCQs/BCQs) and true and false questions, was administered before (pre) and after the workshop (post) to assess the impact of these training sessions in enhancing the level of HIV knowledge, especially related to ART. The workshop was attended by a total of 256 health workers from different cities in Pakistan. The participants had backgrounds in medical science, psychology, laboratory science, nursing, and computer science. Pre-and post-test responses were statistically analyzed to determine the impact of the training program on participant\u27s knowledge. For this, the Shapiro-Wilk test was applied to test data normality, followed by the application of paired t-test or Wilcoxon Signed Rank Test for normally and non-normally distributed data, respectively. Finally, a chi-square test was applied to examine the significant (p\u3c0.05) association between training workshops and improvement in the participant\u27s level of understanding of HIV. In all statistical tests, p\u3c0.05 was considered significant. Results The results from our study showed that before the training session, both physicians and allied staff possessed limited knowledge about HIV-related domains. After the workshops, participants from all cities demonstrated a uniform enhancement of knowledge related to different HIV-related domains, evident from the improvement in post-test scores compared to pre-test scores (p\u3c0.0001). The chi-square test showed a significant association between training workshops and improvement in the participant\u27s level of understanding about HIV (p-values for BCQ, MCQ, and true and false: 0.001, 0.0047, and 0.0024, respectively). Conclusions Pre- and post-test evaluation provides an objective, data-driven method for measuring the impact of educational interventions in improving healthcare workers\u27 awareness about HIV. The results emphasize the role of continuous workshops and training programs in enhancing the knowledge and understanding of healthcare and allied health workers regarding HIV

Effect of Pickings on Germination Percentage and Fiber Quality Traits in Gossypium Hirsutum L

The present investigations were designed to determine the impact of picking dates on seed germination, 100 seed weight and various fiber parameters. Two genotypes FH-113 and FH-114 were evaluated under early and normal sowing. Nine and six pickings were taken under early and normal conditions, respectively. The results revealed significant variation in both the years for fiber traits but for seed germination, the results were non-significant and for seed weight remained significant under both sowing times, respectively. For picking time the estimates were significant under both sowing times thus exhibiting the major role of picking time in this experiment. For germination percentage, the results were variable for both the genotypes. For genotype FH-113, germination remained above 60% during 1st pick and for 5th, 6th, and 7th pick, the germination rates were higher and nearing almost 70%. For 2nd genotype, the germination remained below 50% from pick-1 to pick-4 and above 50% in pick 5 and 8 but for all other pickings the values remained in the range 45–50%. Under normal sowing both genotypes exhibited germination percentage near 60% at 1st pick but for 2nd and 3rd pick, the germination rate remained between 45% and 50%. Regarding correlation studies among the studied traits germination % had positive and highly significant correlation with 100 seed weight under both sowing times. Fiber fineness and strength had strong and highly significant correlation with fiber maturity under both conditions. The results from this study revealed that pickings during favorable conditions produce better quality and germination